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NDHI NAT IONAL DIALOGUE FOR Healthcare Innovation Center for Medical Interoperability Organization Overview • Ascension is the nation’s largest nonprofit health system, with 2,500 sites of care in 24 states • Through its Healthcare Division, Ascension is a founding member of the Center for Medical Interoperability, a 501(c)(3) organization led by health systems to advance data sharing between medical technologies and systems Background Historically, many healthcare organizations have experienced similar technical barriers to information sharing, but they have lacked a dedicated vehicle for addressing them. The Center for Medical Interoperability (Center) enables the seamless exchange of information, in order to improve health care for all. The Center serves as an R&D arm for member health systems, guiding innovation and providing a vendor-neutral focal point to work with solution providers. To fulfill its mission, the Center is establishing a centralized lab to test and certify that devices and enterprise applications meet members’ technical requirements. The Center’s board of directors represents the diversity of healthcare organizations. Despite being competitors in the market, they are unified behind this mission and committed to leveraging their $100 billion in purchasing power to compel change. working to repair the technical underpinnings supporting health care such that we have a solid foundation upon which to innovate and develop solutions that will drive the healthcare transformation that our nation needs. The Center is collaborating with industry stakeholders through technology coalitions to develop a vendor- neutral architecture (Figure 1) that enables data liquidity - the ability for data to move freely and securely from the point of care to wherever it is needed. Attributes of the architecture include: • Plug-and-Play (PnP). One can attach the device or system without requiring configuration of either side of the connection. • One-to-Many. Conforms to requirements and therefore PnP with others. • Two-Way. Data can flow in both directions. • Trusted. Secure, reliable and safe without failure conditions. • Standards-Based. Use of open, standardized solutions, as opposed to proprietary ones. Collaboration Details The mission of the Center for Medical Interoperability is to drive technical consensus. The Center focuses on Infrastructure, Innovation and Transformation. It is An Initiative of the 7 | Center for Medical Interoperability
NDHI NAT IONAL DIALOGUE FOR Healthcare Innovation Value Delivered The Center leverages provider demand and enables collaboration between vendors to improve patient safety and care quality, while also reducing clinician burden and waste. The Center believes that achieving data liquidity will benefit the healthcare system as a whole by improving healthcare quality, while also reducing cost: • Patients will benefit from safer, coordinated care experiences and will have better insight to their own health information Figure 1: Framework for Data Liquidity The Center has developed a multi-dimensional interoperability maturity model. Industry must make coordinated progress along each of the five dimensions: • Infrastructure: How connected, secure, and resilient is the system’s infrastructure? • Syntactic: Is the information that the health system needs to exchange formatted to meet the system’s needs? • Terminology/Semantic: Do the places that send and receive data speak the same language? • Orchestration: Is information exchange sequenced to meet the system’s needs? • Contextual/Dynamic: Do the system’s information exchanges enable safety and optimal decisions? • Care providers will gain access to complete, real-time data that will enable better care decisions; their operating costs will also be lowered by reducing inefficiencies • Manufacturers and service providers will benefit from faster scientific discovery processes and greater possibilities in developing technology-enabled offerings that add more value to customers Path Forward • The Center for Medical Interoperability will occupy its new lab space in Nashville by the end of 2016 • The Center will continue to collaborate with industry experts and its member organizations to develop the platform’s reference architecture • The Center will focus on holistically addressing the clinical, business, technical, ecosystem, regulatory and health system adoption challenges to interoperability Center for Medical Interoperability | 8
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